Polk Group Home in Alexandria - Intermediate Care Facility, Intellectual Disabilities
Polk Group Home - NPI 1447275011
Polk Group Home is a Intermediate Care Facility, Intellectual Disabilities in Alexandria, Louisiana. Polk Group Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Polk Group Home is 1447275011. The last update date is 2009-11-07.
Polk Group Home's current location address is 557 Mckeithen Drive, Alexandria, Louisiana. You can contact this provider via phone number 3184730212 and fax number 3184730117. The mailing address for Polk Group Home is 557 Mckeithen Drive, Alexandria, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Polk Group Home |
|---|---|
| Address | 557 Mckeithen Drive, Alexandria, Louisiana |
| Phone Number | 3184730212 |
| Fax Number | 3184730117 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Bolton Bonnette Christina |
| Telephone Number | 3184451551 |
NPI Number Detail
| NPI Number | 1447275011 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2009-11-07 |
Provider Mailing Address Detail
| Address | 557 Mckeithen Drive |
|---|---|
| City | Alexandria |
| State | Louisiana (LA) |
| Post Code | 71303 |
| Phone Number | 3184730212 |
| Fax Number | 3184730117 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 815 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1713678 | LA | UNISYS | |
| 19G531 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Polk Group Home by the Centers for Medicare & Medicaid Services?
The Polk Group Home has been assigned the NPI (National Provider Identifier) 1447275011. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Polk Group Home?
The Polk Group Home is physically situated at 557 Mckeithen Drive, in the city of Alexandria, state of LA, with the postal code 71303.
What is the Polk Group Home's area of specialization and corresponding taxonomy classification?
The Polk Group Home's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did Polk Group Home receive its 1447275011 assignment from the Centers for Medicare & Medicaid Services?
The Polk Group Home was assigned its 1447275011 on 2006-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Polk Group Home, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Polk Group Home, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-11-07.